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General NPI Number Information
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NPI Number | 1215802533
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Entity Type | Individual
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Provider Name | DYLAN JACOB PAPALI
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Gender | Male
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 2950 W CAMP WISDOM RD STE 200
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-4509
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Country | US
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Telephone | 972-602-9238
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Fax |
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Provider Business Mailing Address
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Address Line | 10076 BERKSHIRE ST
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City | PICKERINGTON
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State | OH
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Zip | 43147-8794
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Country | US
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Telephone | 513-560-7921
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP050202T
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT022061
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License Number State | OH
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